TERRY BUZZARD (MD) – Family Medicine Physician, NPI 1073590204

TERRY BUZZARD (MD) is a healthcare provider. based in Machesney park, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 36083230 (IL). The NPI Number for TERRY BUZZARD (MD) is 1073590204

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
TERRY BUZZARD (MD)
NPI
1073590204
Phone
(815) 713-2600
Address
10100 FOREST HILLS RD
Enumeration Date
29 December 2005
Last Update Date
7 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3367381691
Graduation Year
1989 (37 years ago)
PAC ID
4587578927
Group Practice PAC ID
9133422306
Professional Enrollment ID
I20220310000095
Address ID
NC274077039GR5718XBLVD500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,041 FAMILY PRACTICE in IL

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Provider Addresses for TERRY BUZZARD (MD)

  • Forest Hills Road, Loves Park, Machesney Park, Winnebago County, Illinois, 61111, United States

    MACHESNEY PARK, IL 611158234

    Phone: (815) 713-2600

    Fax: (815) 654-8020

    Type: Mailing

  • North 2nd Street, Machesney Park, Winnebago County, Illinois, 61115, United States

    MACHESNEY PARK, IL 611151285

    Phone: (815) 654-8000

    Fax: (815) 654-8020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-10-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040803001292IFamily PracticeILTBD
I20130619000303IFamily PracticeINTBD
I20200319001649IFamily PracticeWITBD
I20220310000095IFamily PracticeNCTBD
I20230619000320IFamily PracticeNYTBD
I20230705002032IFamily PracticeMITBD
I20231019003195IInternal MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2120$0
99203New patient office or other outpatient visit, 30-44 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 61115)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133422306View full group profile
NameSpecialtyState
Nurse PractitionerNC
Physician AssistantNC
Nurse PractitionerMD
Physician AssistantNC
Physician AssistantNC
Physician AssistantCA
-NC
Physician AssistantNC
Nurse PractitionerNC
Emergency MedicineNC

Reviews

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Frequently asked questions

What unique ID ties claims to TERRY BUZZARD (MD)?
NPI 1073590204 is assigned to TERRY BUZZARD (MD) under the national enumeration system.
Is TERRY BUZZARD (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is TERRY BUZZARD (MD)?
The page reflects Family Medicine Physician for TERRY BUZZARD (MD). Clinical services aligned with this taxonomy classification.
What location shows for TERRY BUZZARD (MD)?
We surface Machesney Park, Illinois for TERRY BUZZARD (MD) based on available NPPES addresses.
Is TERRY BUZZARD (MD) a real provider?
This page reflects official NPPES data for NPI 1073590204. Always confirm identity and privileges with the practice and licensing boards.

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